To correct inconsistencies in the definitions relating to Native Americans in the Patient Protection and Affordable Care Act.

“(f) Indian

“(1) In general—In this title, the term Indian means any individual—

“(A) described in paragraph (13) or (28) of section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603);

“(B) who is eligible for health services provided by the Indian Health Service under section 809 of the Indian Health Care Improvement Act (25 U.S.C. 1679);

“(C) who is of Indian descent and belongs to the Indian community served by the local facilities and program of the Indian Health Service; or

“(D) who is described in paragraph (2).

“(2) Included individuals—The following individuals shall be considered to be an Indian:

“(A) A member of a Federally-recognized Indian tribe.

“(B) A resident of an urban center who meets 1 or more of the following 4 criteria:

“(i) Membership in a tribe, band, or other organized group of Indians, including those tribes, bands, or groups terminated since 1940 and those recognized now or in the future by the State in which they reside, or being a descendant, in the first or second degree, of any such member.

“(ii) Is an Eskimo or Aleut or other Alaska Native.

“(iii) Is considered by the Secretary of the Interior to be an Indian for any purpose.

“(iv) Is determined to be an Indian under regulations promulgated by the Secretary.

“(C) An individual who is considered by the Secretary of the Interior to be an Indian for any purpose.

“(D) An individual who is considered by the Secretary to be an Indian for purposes of eligibility for Indian health care services, including as a California Indian, Eskimo, Aleut, or other Alaska Native.”